Individual provider Active NPI

Joseph Decker, M.D.

  • Ophthalmology Physician
  • San Jose, CA
National Provider Identifier
1871546010
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G11266 Issued in CA
Practice address
123 Di Salvo Ave
Suite 20
San Jose, CA 95128-1717
Phone
(408) 279-4664
Fax
(408) 279-0464
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G11266 CA Primary

Addresses

Primary practice location

123 Di Salvo Ave
Suite 20
San Jose, CA 95128-1717

Mailing address

123 Di Salvo Ave
Suite 20
San Jose, CA 95128-1717
Phone (408) 279-4664

Other identifiers 1

IdentifierTypeStateIssuer
181912104OtherCAMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081223000606 CA Practitioner - Ophthalmology 5496776775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1962
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Jose Eye Institute Medical CorporationGroup PAC ID 2860448198, 2 clinicians

Practice addresses (Care Compare)

123 Di Salvo Ave
Suite 20
San Jose, CA 95128-1714
Phone (408) 279-4664

Merit-based Incentive Payment System (MIPS)

Final score
92.59 of 100Reported as group
Quality
96.69
Improvement activities
40
Cost
79.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G11266CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Jose Eye Institute Medical Corporation Ophthalmology CurrentSince Jan 1, 1966 Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
County of Santa Clara Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients

Locations

123 Di Salvo Ave
Ste 20
San Jose, CA 95128
Phone (408) 279-4664

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452038400000",
    "number": "1871546010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 DI SALVO AVE",
            "address_2": "SUITE 20",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281717",
            "telephone_number": "408-279-4664",
            "fax_number": "408-279-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 DI SALVO AVE",
            "address_2": "SUITE 20",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281717",
            "telephone_number": "408-279-4664",
            "fax_number": "408-279-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2016-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G11266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "181912104",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.